# KATY DIABETES AND ENDOCRINOLOGY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639881048
- **Authorized official:** JOHANNA VIVIENNE LEYCO-POLICARPIO MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (832) 437-6531

## Contact information

- **Practice address:** 26077 NELSON WAY STE 1201, KATY, TX 77494-6698
- **Practice address phone:** (832) 437-6531
- **Practice address fax:** (832) 437-6548
- **Mailing address:** 26077 NELSON WAY STE 1201, KATY, TX 77494-6698
- **Mailing address phone:** (832) 437-6531
- **Mailing address fax:** (832) 437-6548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2022
- **Last updated:** 12/16/2022